ICU护士对再喂养综合征知信行现状及影响因素分析  

Analysis of the status quo and influencing factors of ICU nurses′knowledge,attitude,and practice of refeeding syndrome

作　　者：姜帆 俞佳敏 窦英茹[2] 龚娉 陈晓琳 李梦雅 JIANG Fan;YU Jiamin;DOU Yingru;GONG Pin;CHEN Xiaolin;LI Mengya(School of Nursing·School of Public Health,Yangzhou University,Yangzhou,Jiangsu 225009,China;Northern Jiangsu People′s Hospital,Yangzhou,Jiangsu 225001,China;Yixing Second People′s Hospital,Yixing,Jiangsu 241221,China)

机构地区：[1]扬州大学护理学院·公共卫生学院,江苏扬州225009 [2]江苏省苏北人民医院,江苏扬州225001 [3]宜兴市第二人民医院,江苏宜兴241221

出　　处：《现代医药卫生》2025年第4期955-961,共7页Journal of Modern Medicine & Health

摘　　要：目的调查重症监护室(ICU)护士对再喂养综合征知信行现状并探索其影响因素,旨在为临床开展相关教学、培训提供依据。方法2023年11月采用自行设计的一般资料调查表和ICU护士对再喂养综合征知信行现状问卷便利抽取江苏省8所三级甲等医院的ICU护士,对其再喂养综合征知识、态度和行为3个维度进行调查。结果共回收有效问卷294份。ICU护士对再喂养综合征知信行总得分为(137.02±19.45)分,得分率为80.60%。其中知识维度得分为(30.83±8.06)分,得分率为68.50%;态度维度得分为(51.52±7.64)分,得分率为85.87%;行为维度得分为(54.68±8.72)分,得分率为84.12%。多元线性回归分析结果显示,ICU护士再喂养综合征知识的主要影响因素为年龄、职称、是否参加过相关知识培训(P<0.05);态度的主要影响因素为年龄、职务、职称(P<0.05);行为的主要影响因素为职务(P<0.05)。结论ICU护士对再喂养综合征的态度和行为较为积极,但知识水平有待提高。护理管理者应根据护士的不同特征进行相关知识的培训,通过强化知识树立积极态度,从而改变行为,提高重症患者的护理质量。Objective To investigate the knowledge,attitude,and practice of intensive care unit(ICU)nurses regarding refeeding syndrome and explore the influencing factors,with the aim of providing a basis for related clinical teaching and training.Methods In November 2023,a self-designed general information survey and an ICU nurse knowledge,attitude,and practice questionnaire on refeeding syndrome were distributed to ICU nurses at eight Grade-A tertiary hospitals in Jiangsu province using a convenience sampling method.The survey covered three dimensions:knowledge,attitude,and practice.Results A total of 294 valid questionnaires were collected.The overall score for the ICU nurses′knowledge,attitude,and practice on refeeding syndrome was(137.02±19.45)points,with a score rate of 80.60%.The scores in the three dimensions were as follows:knowledge(30.83±8.06)points with a score rate of 68.50%,attitude(51.52±7.64)points with a score rate of 85.87%,and practice(54.68±8.72)points with a score rate of 84.12%.Multivariate linear regression analysis showed that the main influencing factors for knowledge were age,professional title,and whether the nurse had attended related training(P<0.05);the main influencing factors for attitude were age,position,and professional title(P<0.05);the main influencing factor for practice was position(P<0.05).Conclusion ICU nurses have a relatively positive attitude and practice towards refeeding syndrome,but their knowledge needs improvement.Nursing managers should tailor training to nurses′characteristics and enhance knowledge to foster positive attitudes,ultimately improving nursing practice and the quality of care for critically ill patients.

关 键 词：重症监护病房 护士 知信行 问卷调查 影响因素分析 

分 类 号：R47[医药卫生—护理学]